Remote Medical Director, Policy & Operations
cvs healthBel Air (MD)
Remote Medical Director, Policy & Operations
Posted today
cvs healthBel Air (MD)
SENIORITY
Manager
About the role
CVS Health is seeking a Medical Director MPO (Medical Policy & Operations) to provide clinical leadership from a remote position anywhere in the United States. The role focuses on policy, clinical review, and payment decisions to support high-quality care for Commercial and Medicare populations.
Responsibilities include handling appeals, claim reviews, and predetermination of benefits, with strong emphasis on coding policy, reimbursement, and performance analytics. Aetna experience is preferred.
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.